NUR 225 exam 1 Questions and Correct
Answers| 2026 Update
which of the following forms of subjective client data would be documented in the
medical record by the nurse?
A- client's face is pale
B- cervical lymph nodes are palpable
C- nursing assistant reports client refused lunch
D- client feels nauseated
D
this is the only subjective choice
Priorities are established to help the nurse anticipate and sequence nursing
interventions when a client has multiple problems or alterations. Priorities are
determined by the client's?
A- physician
B- non-emergent, non life threatening needs
C- future well being
D- urgency of problems
D
,the RN has received her client assignment for the day shift. After making the initial
rounds and assessing the clients, which client would the RN need to develop a
plan of care for first?
A- a client who is ambulatory
B- a client who has a fever, is diaphoretic and restless
C- a client scheduled for OT @ 1300
D- client who just had an appendectomy and has pain medication
B
restless is NOT good!
a nurse is caring for a pt who had an asthma attack. 10 min after administering an
inhaled bronchodilator to the client, the nurse returns to ask if the client's
breathing is easier. The nurse is engaging in which phase of the nursing process?
A- assessment
B- diagnosis
C- planning
D- implementing
E- evaluation
E
the nurse has asked the pt about his current admission and has examined pt.
based on the info, recognizing cues and patterns in the data, the nurse has
, identified and documented the primary concern for nursing care. which of the
following steps in the nursing process is this an example of?
A- assessment
B- diagnosis
C- planning
D- implementation
E- evaluation
B
PERRLA
Pupils are
Equal
Round
Reactive to
Light (direct and consensual) and
Accommodate
your patient is being transported to special procedures for PICC line placement.
the pt is in droplet precautions. what are your nursing actions to ensure proper pt
transport?
A- notify the receiving dept and place a surgical mask on pt
B- place an N95 mask on pt and notify receiving dept
Answers| 2026 Update
which of the following forms of subjective client data would be documented in the
medical record by the nurse?
A- client's face is pale
B- cervical lymph nodes are palpable
C- nursing assistant reports client refused lunch
D- client feels nauseated
D
this is the only subjective choice
Priorities are established to help the nurse anticipate and sequence nursing
interventions when a client has multiple problems or alterations. Priorities are
determined by the client's?
A- physician
B- non-emergent, non life threatening needs
C- future well being
D- urgency of problems
D
,the RN has received her client assignment for the day shift. After making the initial
rounds and assessing the clients, which client would the RN need to develop a
plan of care for first?
A- a client who is ambulatory
B- a client who has a fever, is diaphoretic and restless
C- a client scheduled for OT @ 1300
D- client who just had an appendectomy and has pain medication
B
restless is NOT good!
a nurse is caring for a pt who had an asthma attack. 10 min after administering an
inhaled bronchodilator to the client, the nurse returns to ask if the client's
breathing is easier. The nurse is engaging in which phase of the nursing process?
A- assessment
B- diagnosis
C- planning
D- implementing
E- evaluation
E
the nurse has asked the pt about his current admission and has examined pt.
based on the info, recognizing cues and patterns in the data, the nurse has
, identified and documented the primary concern for nursing care. which of the
following steps in the nursing process is this an example of?
A- assessment
B- diagnosis
C- planning
D- implementation
E- evaluation
B
PERRLA
Pupils are
Equal
Round
Reactive to
Light (direct and consensual) and
Accommodate
your patient is being transported to special procedures for PICC line placement.
the pt is in droplet precautions. what are your nursing actions to ensure proper pt
transport?
A- notify the receiving dept and place a surgical mask on pt
B- place an N95 mask on pt and notify receiving dept
